Bermuda Village Retirement Center Limited Partnership

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

NH0519 Issued in NC

Legal business name

BERMUDA VILLAGE RETIREMENT CENTER LIMITED PARTNERSHIP

Doing business as

Bermuda Village Retirement Center

Practice address

142 Bermuda Village Dr
Advance, NC 27006-7867

Phone

(336) 998-6754

Fax

(336) 998-6771

NPI assigned

Aug 5, 2009

Last updated

Aug 5, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jan Whittle, CPA

Title

Vice President of Finance

Phone

(336) 714-3340

Specialties & licenses 1

Addresses

Other names 1

• BERMUDA VILLAGE RETIREMENT CENTER Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249430400000",
    "number": "1245461425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 BERMUDA VILLAGE DR",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270067867",
            "telephone_number": "336-998-6754",
            "fax_number": "336-998-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 BERMUDA VILLAGE DR",
            "city": "ADVANCE",
            "state": "NC",
            "postal_code": "270067867",
            "telephone_number": "336-998-6754",
            "fax_number": "336-998-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERMUDA VILLAGE RETIREMENT CENTER LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-05",
        "last_updated": "2009-08-05",
        "status": "A",
        "authorized_official_last_name": "WHITTLE",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "336-714-3340",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BERMUDA VILLAGE RETIREMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Bencuya, R.PH
• Chase Gregory Bennett, MD
• Bonnie T. Bergen, RPH
• Bermuda Run Counseling, PLLC
• Bermuda Village Retirement Center Limited Partnership (Bermuda Village)
• Kristen Powell Blakley, P.T.
• Celine Bongaerts, LPC
• Margaret McRae Bovender, NP
• Kirsten Bradley, KIRSTEN BRADLEY
• Charles Leon Branch Jr., MD

• Nursing Facility/Intermediate Care Facility in Advance, NC
• Providers in Advance, NC by specialty
• Nursing Facility/Intermediate Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.